HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O
Date: 3 - 19.1 9 SCANNED Permit Number: ' Q
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
BY It1.GIV�D
St. Lucie County
Building Permit Application MAR 19 2019
ST, Lucie County, Permitting
Commercial
Residential
FERMITTYPE: Generator I---
IPROPOSED'IMPR'OVEMENT LOCATION I
Address: 5001 Pinetree Dr
Property Tax ID #: 3402-602-0074-000-0
Site Plan Name:
Project Name:
DETAILED DESCRIPTION:OF WORK:
Install customer supplied 22KW generator with 200amp transfer switch with load
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 3200.00
Lot No.31
Block No.
modules
Windows/Doors
Roof Pitch
Utilities: _Sewer Septic Building Height:
:OWNER/LESSEE:
CONTRACTOR:
Name Christopher & Melissa Hutchings
Name: Michael Flaxman
Address:5001 Pinetree Dr
Company: Energized Electric
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772-293-1548
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone N0772-466-1095
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail EnergizedGenerators@gmail.com
State or County License EC13006279
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
'J
SUPP'LEMENTALCONSTRUCTIONLIENLAW INFORMATION:
-
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDERIDR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature o Own r/ Less a/Contractor as Agent for Owner
Signature of on actor/License Holder
STATE OF FLORIDA`T1�. I
STATE OF FLORID D
COUNTY OF l I �1
COUNTY OF t C
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The fo oing instrument was cknowledg efore me
this day of � 20 by
Theo oing inst ent was I�ck^nnowled a before me
this day ofM%^,V \\ . 20 by
w i g a Fl�� xryV�
M I ep Yyed F1Gt.x.v✓ nn
Name of person making statement.
Name of person making statement.
Personally Known OR Pr uced Identification
Personally Known 7' OR Produced Identification
Type of dentificalt
Type of IdentificatiT
Prod a
Prod e
(Signature of otary Pu is -State of Florida)
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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Rev. 2///7
ate of Florida -Notary Publi
:ommission k GG 237887
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